CAROLYN D LEYVA - Physical Therapist License in Georgia | # 070004933

CAROLYN D LEYVA

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004933

License Status

INACTIVE

Business

N

First Name

CAROLYN

Middle

D

Last Name

LEYVA

Business Name

CAROLYN D LEYVA

Original Issue Date

01/10/1987

Effective Date

08/10/2016

Expiration Date

09/30/2018

State

GA

Ever Disciplined

N

LastModifiedDate

07/07/2018